Essential Health Benefits

Health plans offered in a federally approved Marketplace will generally offer a set of “essential health benefits” with these items and services to ensure you and your family are covered:

Ambulatory patient services

Emergency services

Hospitalization

Maternity and newborn care

Mental health and substance use disorder services, including behavioral health treatment (which includes counseling and psychotherapy)

Prescription drugs

Rehabilitative and habilitative services and devices

Laboratory services

Preventive and wellness services and chronic disease management

Pediatric services, including oral and vision care.

Individuals can buy insurance through a Marketplace if they live in the United States, are U.S. citizens or U.S. nationals (or are lawfully present), and aren’t currently incarcerated.

In Colorado

Options for Coloradans residents
Colorado’s Health Insurance Marketplace, Connect for Health Colorado offers a wide array of insurance plans to meet an individual’s needs and preferences. Through the Marketplace, Coloradans can shop for coverage and compare options to find the health plan that best fits their needs. Open enrollment generally begins in mid-November and ends in mid-February.

Connect for Health Colorado is a marketplace for individuals, families and small businesses looking to buy health insurance. You can shop for coverage if you are a Colorado resident and have legal immigration status, and you need health and/or dental insurance. Small businesses and non-profit organizations with up to 50 employees can also use the Marketplace. Through the Marketplace, Coloradans can compare insurance options based on price, benefits, quality and other factors, while receiving a clear picture of premiums and cost-sharing amounts to help them choose the insurance that best fits their needs.

Financial help to lower costs is available for people who qualify. Consumers may be eligible for a free or low-cost plan, or savings that lower monthly premiums right away.

Colorado Health Insurance Marketplace Eligibility

Family Size:

Annual Income:

Individual

$15,000 - $45,500

Family of Two

$20,500 - $62,000

Family of Four

$31,000 - $94,000

You may also be eligible for health plans with lower co-pays and deductibles, based on income.

Adults earning up to 138 percent of the federal poverty level or approximately $32,500 per year for a family of four or $15,900 for an individual are eligible for Medicaid.

Colorado Medicaid Expansion EligibilityFamily Size: Monthly Income:
Individual $1,250
Family of Two $1,700
Family of Three $2,150
Family of Four $2,600

To learn more and determine if you are eligible for Medicaid, visit Colorado PEAK, call them at 1-800-221-3943 or TDD: 1-800-659-2656, or speak to one of our Certified Application Counselors at 855-821-0124. Additionally, the Colorado state government recently created a helpful page to guide you through the process that also includes answers to frequently asked questions. If you already applied for coverage based on the expanded eligibility requirements, the State of Colorado lets you track your application’s progress online.

SCL Health is an equal opportunity employer. All recruiting, training, and employment decisions are made in accordance with applicable federal, state, and local laws and without regard to race, color, ancestry, national origin, gender, pregnancy, gender identity, sexual orientation, religion, age, disability, handicap, military or veteran status, or any other legally protected status.

NOTICE OF NONDISCRIMINATION

Our facilities do not discriminate against any person on the basis of race, color, national origin, disability, or age in admission or access to, or treatment or employment in, its programs, services or activities, or on the basis of sex (gender) in health programs and activities. Read the full notice: